MAHARAJA AGRASEN INSTITUTE OF TECHNOLOGY

September 17, 2020

MAIT/Notice/2020

NOTICE

Subject:   Regarding Declaration of COVID -19 status.                      

All the students who are appearing in the End Term Examination for B. Tech. and MBA final year which is to be held in September – October 2020 are instructed to fill the Self Declaration Form and drop it in the Drop box at the Main Gate on September 21,2020.

All students should bring the filled Self Declaration Form. The declaration form is given in Annexure I.

As per the GGSIPU Notification No. GGSIPU/EXAM/COE/2020/21079 dated 17.09.2020 it is clarified that student having COVID-19 (Positive) status in not allowed to appear in the said Examination. Subsequent Examination will be held in due course. The notice is attached in Annexure II

Kindly treat is as important and Urgent.                              

Prof. (Dr.) Neelam Sharma

Director.

Notice regarding COVID-19 (Positive) students appearing in final year / final semester examinations, Sept./Oct. 2020

COVID-19 SELF DECLERATION FORM

I,………………………..., resident of house no. ……………………………… do hereby, declare the following:

I have read the Instructions, Guidelines and relevant orders of Govt of India pertaining to COVID-19 pandemic. I have read Information Bulletin, Instructions and Notices related to this examination available on the website mait.ac.in.

I have in the last 14 days experienced the following flu-like symptoms   (please tick, wherever it is applicable to you, otherwise leave blank):

Fever: ❏, Cough: ❏, Breathlessness: ❏, Sore throat / Runny Nose: ❏, Body ache: ❏ Others- Please specify: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _

• been in close contact with a confirmed case of COVID-19 ('Close contact' means being at less than one-meter distance for more than 15 minutes.) ❏
• Not been in close contact with a person suffering from COVID-19 and am NOT under mandatory quarantine: ❏
• Travelled the following cities/ country in the last 14 days prior to arriving at the Centre. ❏

        Date & Place                                                                                                                 Name & Signature